Injection device with simplified stopper retention The invention relates to an injection device with a volume for accommodating a product for administration, with a piston to act upon the product within the volume, and with a stopper which can be arranged between the end of the piston facing the product and the product within the volume, in accordance with claim 1.
In the prior art, infusion devices are used that provide for a retention of the inserted stopper via a thread or an overpressure valve. In injection devices of this kind, relatively high costs are thus incurred, and handling is awkward and therefore associated with risks. It is an aim of the invention to at least partially eliminate at least one disadvantage of the prior art. In particular, an injection device with a retention for the inserted stopper is to be made available which is relatively easy to construct and which is therefore less expensive than devices of the known kind.
It can be regarded as a further aim of the invention to make available an injection device that is easy to handle.
The advantages according to the invention are based on the fact that the piston is provided with a piston head which can be sealed in a gas-tight manner and which is separate from the stopper such that a negative pressure or vacuum region can be developed between the piston head and the stopper.
In the injection device according to the invention, the stopper retention is therefore effected by generating a negative pressure or a vacuum. While the stopper is moved forward in the usual way by the piston head, the negative pressure region or vacuum region between the stopper and the piston head prohibits an unintended movement of the stopper, since the negative pressure in the intermediate space would be intensified by a movement of the stopper without a participating movement of the head, such that an unintended separate movement of the stopper is either substantially reduced or damped or, if low forces or forces that are not too great act on the stopper, such unintended movements are prevented from the outset.
If a patient is connected via a conventional injection device and an associated infusion set to a supply, different forces can act on the stopper. These potential forces include a negative pressure in the environment relative to the pressure in the volume of the injection device, and the hydrostatic pressure caused by the height difference between the puncture site of the infusion set on the body of the patient and the injection device.
In the invention, as also in the prior art, it should be noted that additional frictional forces arise between the volume wall of the injection device and the stopper. These frictional forces can vary greatly, such that genuinely reproducible administration parameters are not available here. While in one injection device the stopper experiences no unintended displacement at relatively high forces, which are exerted on it by the environment, in another identically designed injection device an unintended displacement can easily occur in the same environment.
According to the invention, it has now been found that the negative pressure or vacuum region, which according to the invention is provided between the stopper and the piston head, makes available a range of forces, even great forces, in order to secure the stopper against the attacking forces, so as to be able to avoid - 3 - 23789 wo an unintended administration of a medicament or product.
In an advantageous embodiment according to the invention, the piston head comprises a sealing lip which extends about the full circumference and which provides a gas-tight seal with respect to the volume wall. In this way, the piston head can be moved to and fro, allowing a vacuum or negative pressure region to develop between the stopper and the piston head. On the other hand, it is also possible to design the piston head with a sufficiently exact fit without sealing lip, such that it can provide a seal with respect to the volume wall in order to be able to develop a negative pressure or a vacuum between the stopper and the head.
If a sealing lip is provided, the latter can advantageously have a predetermined leakage arrangement counter to the direction of insertion of the piston head. In the simplest case, when the piston head is pushed into the volume, the sealing lip is able to snap round counter to the direction of insertion of the piston head and thus cause a leakage by which air or gas inside the free volume can escape, i.e. until the piston head hits the stopper. If, after the head has hit the stopper, the piston head is then pulled, a negative pressure region is set up, the sealing lip being suitably designed on its outer circumference such that it can provide a sealing action. The sealing lip can be provided, for example on the edge or near the edge of its side facing toward the stopper, with a structure, for example a radially extending groove structure, which does not extend through the sealing lip in the axial direction of the sealing lip or of the piston head.
To generate the vacuum between the stopper and the piston head, it does not have to be necessary to pull on the piston head, i.e. no reverse movement of the piston head is needed to generate the vacuum. A folding around of the sealing lip may be needed to release the piston head from the stopper, since in this way air can flow into the space and the vacuum is thus lost or the connection between stopper and piston head broken.
On the other hand, it is also possible for the piston rod, on which the piston head is secured, to be designed in such a way that the overpressure occurring upon insertion of the piston head can escape through it. For example, the piston rod can be made partly hollow or can be designed with an inner conduit that is able to open and close, such that an overpressure can escape via the piston rod. After the overpressure has escaped, the conduit is closed, for example by means of a stopper, a valve, a film or the like, such that upon subsequent loading of the stopper or of the piston head an unintended displacement of the stopper can be avoided by the developing low pressure.
It is of course also possible to design the piston head with another type of sealing arrangement, for example a separate or integrally formed 0-ring. This 0-ring is then also able to provide a seal with respect to the wall of the volume.
Moreover, such a head or a head per se according to the invention can also be designed with at least one valve.
Such a valve can be provided, for example, in the form of a one-way valve, i.e. this valve opens when the piston head is inserted into the volume, such that an overpressure can escape. After the overpressure has escaped or when the piston rod is pulled, the one-way valve closes and a vacuum can be developed between the head and the stopper, which, as has been explained above, can perform its positive effects. The valve can prevent air from flowing into the vacuum. In this way, every displacement, however small, of the stopper can result in a negative pressure in the volume, which acts against potentially attacking forces such as negative pressure in the environment or hydrostatic pressure forces. The greater the unintended displacement of the stopper away from the piston, the greater is the counterforce that is built up by the negative pressure and that moves the piston back to the starting position.
The valve arrangement can also be in the form of a two-way valve, in particular when the latter is designed with different trigger pressures. Thus, the trigger pressure upon insertion of the piston head can be set lower than the trigger pressure upon withdrawal of the piston head. It must be noted here that the trigger pressure upon withdrawal and the retention force to be applied thereby is greater than the maximum potential environmental tensile forces acting on the stopper.
In this way, it is possible for the in principle reusable injection device having the features according to the invention to be made particularly easy to reuse.
inlhen the higher pressure of the two-way valve has been overcome, the piston head can be pulled out using the piston rod, and the volume can be cleaned in order to be able to reuse the whole device according to the invention. It is also possible to dispose of the volume with the stopper after emptying or after use and to use another volume with fresh product or medicament or the like and to use the same piston head, optionally after a cleaning procedure, in a new volume or with a new ampule.
The stopper can advantageously be formed with a cavity that is located in the axial direction of the stopper opposite the piston head in order to favor the inverting movement of the sealing lips, wherein the negative pressure region is formed between head and stopper.
- 6 - 23789 wo Two valves corresponding to the abovementioned two-way valve can of course also be dimensioned and provided separately, instead of a single two-way valve with the aforementioned features.
In another inexpensive embodiment of a valve arrangement for the device according to the invention, a through-opening of a valve is closed with a membrane which can be moved freely or with limited freedom in the air or gas outlet direction, while the membrane is supported in the air inlet direction. By means of the support in the air inlet direction, a sealing contact for membrane support can be achieved, i.e. to the environment of the valve opening, such that a sufficient negative pressure or vacuum pressure can be developed between the stopper and the piston head.
According to the invention, it has been found that a smaller negative pressure or vacuum region between piston head and stopper leads to a greater retention force for the stopper, which acts against unintended displacement of the stopper. The table below gives an overview of the retention forces (F) upon a displacement (dx) of the stopper, with the piston head stationary.
~ z Q ~ ~ z z z o 0 > a > a ~ w 0 0.1 80 0.1 8 0.00 0.10 8.00 8 0.8 5 0.1 80 0.1 13 0.04 0.06 4.92 8 0.8 10 0.1 80 0.1 18 0.06 0.04 3.56 8 0.8 20 0.1 80 0.1 28 0.07 0.03 2.29 8 0.8 0 0.1 80 0.2 16 0.00 0.10 8.00 16 1.6 5 0.1 80 0.2 21 0.02 0.08 6.10 16 1.6 10 0.1 80 0.2 26 0.04 0.06 4.92 16 1.6 20 0.1 80 0.2 36 0.06 0.04 3.56 16 1.6 0 0.1 80 0.5 40 0.00 0.10 8.00 40 4 0.1 80 0.5 45 0.01 0.09 7.11 40 4 0.1 80 0.5 50 0.02 0.08 6.40 40 4 0.1 80 0.5 60 0.03 0.07 5.33 40 4 0 0.11 80 0.1 8 0.00 0.10 8.00 8 0.8 5 0.11 80 0.1 13 0.04 0.06 4.62 8 0.8 10 0.11 80 0.1 18 0.06 0.04 3.11 8 0.8 120 0.11 80 0.1 28 0.08 0.02 1.71 8 0.8 - Vo: volume of hollow space after complete insertion of the head into the ampule/to the stopper - po: pressure in the hollow space after complete 5 insertion of the head into the ampule/to the stopper - Aan,pule: inner cross-sectional surface area of the ampule - dX: distance (in addition to Vo) between the 10 stopper and the head (unintended displacement of the stopper) - V1: volume of the hollow space after displacement by dX
- pl: pressure in the hollow space after the 15 unintended displacement of the stopper by dx - dp: pressure difference pl with respect to the ambient pressure (assuming pm,ient = 1 bar) - F: force that results from the pressure difference and keeps the stopper from unintended slipping 20 forward - Verror: unintentionally discharged volume (by dx) The retaining force, which can be effected according to the invention by the vacuum or corresponding negative pressure that can be developed between the stopper and the head, also depends on other parameters, for example the cross section of the ampule, i.e. the cross section of the volume with the product to be administered, and the volume of the negative pressure or vacuum region prior to displacement of the piston head, this volume being designated as Vo. The pressure po in the negative pressure or vacuum region prior to displacement also plays a role. The air in the negative pressure or vacuum region must be able to escape easily when the head is inserted.
If the stopper in the device according to the invention is displaced by a distance dx shown in the table, a volume Verror of a medicament or the like is accidentally administered to the patient. The stopper can only be displaced here unintentionally if the pressure in the front part of the liquid path for delivering the medicament or the product is lower than the pressure in the negative pressure or vacuum region. This lower force can occur in the front part of the liquid path on account of forces that act on the overall force diagram, for example the negative pressure in the environment or the hydrostatic pressure in the whole infusion set. Moreover, to ensure that the stopper moves forward, the stopper friction also has to be overcome.
The table has been drawn up on the premise that the cross-sectional surface area of the volume with the product amounts to approximately 80 mm2, wherein a negative pressure in the environment of the device according to the invention is in a range of 150 mb, which can result in an additional force of 1.2 Nmax.
The hydrostatic pressure can be approximately 0.8 N
with 1 m liquid column in the infusion set.
Accordingly, it is advantageous if the retaining forces, which can be applied by the negative pressure or vacuum region between the piston head and the stopper, at least slightly exceed the attacking forces varying in an area, such that an unintended displacement and thus an unintended administration of a medicament cannot take place.
The present invention is explained in greater detail below on the basis of preferred embodiments and with reference to the attached figures. Further advantages, features, preferences and aims of the invention are disclosed thereby. In the drawings:
Fig. la shows a schematic view of an infusion set or injection device having features according to the invention, in an axial longitudinal section;
Fig. lb shows the view according to Fig. la, with a negative pressure or vacuum region indicated;
Fig. 2a shows a piston head having features according to the invention, in an axial sectional view;
Fig. 2b shows a perspective side view of the piston head according to Fig. 2a;
Figs 3a to 3e show, in schematic sectional views, the actuation of an injection device according to the invention in different operating stages;
Fig. 4 shows an axial sectional view of a stopper that has been specialized for the invention;
Fig. 5a shows an axial sectional view of another embodiment of a piston head having features according to the invention;
Fig. 5b shows a perspective side view of the piston head according to Fig. 5a; and Figs 6a to 6f show a special valve arrangement in a piston head according to the invention, where Figures 6a, 6c and 6e are axial sectional views and Figures 6b, 6d and 6f are plan views, in schematic form.
Components that are identical, or that are identical at least in terms of their function, are designated below by identical or at least comparable reference numbers.
According to Fig. la, a product or medicament 12 is accommodated within a volume 14 that is able to deliver the medicament 12 to a patient via a delivery means 22 or an infusion set 22. At the lower end of the volume 14, which is a cylindrical ampule here, a stopper 16 is accommodated in the interior thereof, said stopper 16 providing a liquid-tight and air-tight seal with respect to the wall of the volume 14. Adjacent to the stopper 16 there is a piston head 18, on which a piston rod 20 is centrally mounted. The overall configuration has a cylinder symmetry, but it can also have another shape. According to Fig. la, the piston head 18 is in direct contact with the stopper 16, and it is not yet apparent that the two structural parts are separate from each other, i.e. not connected to each other.
It will be apparent from Fig. lb that a force has been applied to the piston rod 20. The piston head 18 has thus been drawn away from the stopper 16, and a negative pressure or vacuum region 24 has developed between the piston head 18 and the stopper 16, which region, for purposes of illustration, is shown larger than it would actually be.
Fig. 2a shows a specific design of a head or piston head 18 on which a stopper 16 is once again mounted. A
lip or sealing lip 18a is arranged about the full circumference of the piston head. This sealing lip 18a can perform its sealing action between the head 18 and the wall of the volume 14. The arrangement of the sealing lip 18a about the full circumference can be seen better still from Fig. 2b. The piston rod can be designed with a thread such that, by rotation of the piston rod 20 designed as a threaded rod, the piston head 18 can be driven forward, or, by means of rotation in the opposite direction, the piston head 18 can be drawn back. The sealing lip 18a provided about the full circumference can perform its sealing function in each case.
In Fig. 3, the insertion of a piston head according to the invention into an injection device according to the invention is shown in various operating stages.
According to Fig. 3a, the piston head 20 is also outside the volume 14, and the sealing lip 18a is therefore not yet in contact with the inner surface of the wall of the volume 14. A region 23 indicates that that there is still an air volume 14 here within the volume 14. According to Fig. 3b, the piston head 18 is now inserted into the volume 14, and the sealing lip 18a' now deforms counter to the direction of advance of the piston rod 20. In this state of deformation, the sealing lip 18a' is permeable only to gas outflow, such that the air can escape from the volume 23. According to Fig. 3c, the piston head finally comes into contact with the stopper 16, and the advance movement of the piston head 18 ends in this position. The sealing lip 18a', deformed in its open position, has now let almost all of the air out of the region 23, which is now no longer present. In this state of deformation, the sealing lip is tight against entry of air into the vacuum region.
After the emptying and for removal of the volume, the piston rod 20 is pulled according to Fig. 3d, specifically counter to the direction of insertion. As soon as the tensile force exceeds a critical value, the sealing lip 18a' snaps round from its position oriented counter to the direction of insertion according to Fig.
3d and into a position according to Fig. 3e. The sealing lip 18a' now provides a nonsealing surface for air flowing into the vacuum region and thus permits release of the piston head from the stopper.
Fig. 4 shows a shape that is optimized for the desired effect according to the invention. The geometry of the stopper 16a is such that the sliding of the stopper into the volume generates much lower forces than its withdrawal. This permits reliable and simple removal of the piston head. In Fig. 4, the head comes from below in order to bear partially on the stopper 16a, while the product that is to be administered is stored above the stopper.
The stopper 16, 16a can have one or more radial indentations 16b in order to reduce the friction between the wall of the volume 14 and the stopper 16, 16a. An additional sealing action can also be applied via edges between the indentations 16b and the wall of the volume 14. A cavity 16a can be provided in the stopper facing the piston head 18 (not shown in Figure 4) in order to aid the development of the neagtive pressure region 24.
Fig. 5a shows an alternative form of the piston head 18 with piston rod 18. Here, a valve arrangement 30 is built into the head. A sealing action is made available by an integrally formed or separately provided 0-ring seal 18a. The position of the valve 30 can be seen also from Fig. 5b.
It is of course also possible to make the piston rod 20 hollow and to permit escape of air from the vacuum or negative pressure region 24 at its upper end simply by means of a stopper or a closure piece or some other sealing arrangement, in order then to close the flow path through the rod 20 in order to make available the desired vacuum or the desired negative pressure region 24.
Fig. 6 shows a valve arrangement which is designed specifically for the purposes according to the invention and which is particularly inexpensive to produce and yet can fulfill the desired function. The surrounding wall of the head 18 can be seen according to Fig. 6a. The head is provided with a hole, which here represents a valve opening. The valve 30, which can correspond to the valve according to Fig. 5a, has a valve opening 30a. The valve opening 30a is sealed by means of a membrane 30b, wherein the membrane is adhesively bonded on the left-hand side to the valve head for example, or is secured by some other securing means 30c. On the opposite side, the valve membrane 30b is in contact with a contact seal 30d which, for example, can be made of silicone, rubber or plastic. In a starting state according to Figures 6a and 6b, the valve film or valve membrane 30b, held by a securing means 30c, bears on the contact seal 30d and will close the opening 30a in the rest position.
If the valve head is now inserted into the volume 14, the valve membrane 30b according to Fig. 6c is deflected by the overpressure within the air or gas volume 23, and the air can escape from the hollow space between the stopper 16 and the head 18. As can be seen from Figures 6c and 6d, the valve membrane 30b previously in contact with the contact seal 30d lifts away from the contact seal 30d, for example by pretensioning of the valve membrane 30b. The outlet deformation 40 for the valve membrane 30b thus permits the desired function, which is intended to permit the escape of an overpressure between the head 18 and the stopper 16.
After the air has escaped, and as soon as the valve head 18 is pulled, an overpressure acts from outside on the valve membrane 30b according to Figures 6e and 6f, which leads to a sealing or closing deformation 40' for the valve membrane 30b. The desired low-pressure region or vacuum region 24 can now be made available between the head 18 and the stopper 16.
List of reference numbers 12 product, medicament 14 volume 16, 16a stopper 16b indentation 16c cavity 18 piston head, head 18a lip, sealing lip 18a' lip, sealing lip with outlet deformation 18a " lip, sealing lip with seal deformation 20 piston rod 22 delivery, infusion set 23 air/gas volume 24 low pressure/vacuum region 30 valve 30a valve opening 30b valve membrane 30c securing means 30d contact seal 40 outlet deformation 40' seal deformation for valve membrane